| NPI | 1770381428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP70124581) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60991785) |
| Enumeration Date | 2025-03-06 |
| Last Update Date | 2026-08-13 |